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[Colitis cystica profunda]

K Hrynyschyn, R Winkler, H Schäfer

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|February 1, 1981

Summary

Colitis cystica profunda, a rare condition, presents with cysts in the large intestine, mimicking rectal cancer. Surgical excision ensures accurate diagnosis and prevents incorrect treatments like proctectomy.

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Area of Science:

Gastroenterology and Pathology

Background:

Colitis cystica profunda is a rare submucosal intestinal disease.
Histopathology reveals epithelial-lined cysts filled with mucus in the large intestine or rectum.

Observation:

Clinical presentation of blood and mucus loss can resemble rectal cancer.
Macroscopic appearance and initial histologic examination of small biopsies or frozen sections may lead to misdiagnosis.

Findings:

Definitive diagnosis requires extensive histologic examination.
Transanal disc excision allows for thorough evaluation of the lesion.

Implications:

Accurate diagnosis prevents misinterpretation and inappropriate treatments such as proctectomy.
Transanal disc excision is a crucial therapeutic and diagnostic approach for colitis cystica profunda, especially near the anal orifice.